Includes bibliographical references and index

I. Overview of harm reduction -- Highlights of harm reduction : a personal report from the first national harm reduction conference in the United States / G. Alan Marlatt -- Harm reduction around the world : a brief history / G. Alan Marlatt -- Basic principles and strategies of harm reduction / G. Alan Marlatt -- II. Applications to addictive behaviors and high-risk sexual behaviors -- Harm reduction for alcohol problems : expanding access to and acceptability of prevention and treatment services / Mary E. Larimer [and others] -- Harm reduction, nicotine, and smoking / John S. Baer and Heather Brady Murch -- Harm reduction strategies for illicit substance use and abuse / Susan F. Tapert [and others] -- Harm reduction and HIV/AIDS prevention / Peggy L. Peterson [and others] -- III. Matching strategies to diverse ethnic communities -- Bringing harm reduction to the Black community : there's a fire in my house and you're telling me to rearrange my furniture? / Imani P. Woods -- Alcohol use and harm reduction within the Native community / Fransing Daisy, Lisa R. Thomas, and Charlene Worley -- IV. Can harm reduction play a role in U.S. drug policy? -- Harm reduction and public policy / Kenneth R. Weingardt and G. Alan Marlatt

"Harm reduction is an increasingly recognized approach to the management of substance abuse and other behaviors that may pose serious health risks. Rather than defining drug use as a disease or a moral failing, harm reduction proponents stake out a humane and practical alternative - meeting clients "where they are at" to help them understand the risks involved in their behaviors and make appropriate decisions about their own treatment goals. The first major text on harm reduction, this timely volume explains the model's rationale and examines a range of applications in diverse communities. Insight is also offered into the often contentious philosophical and policy-related debates surrounding this growing movement." "Up-to-date and informative, this book provides indispensable information for front-line drug and alcohol treatment providers, AIDS educators, and community health activists. Students and professionals in public health, clinical and health psychology, psychiatry, primary care, counseling, and social work will also find it an invaluable resource, as will readers interested in drug policy and the law."--Jacket

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